I am Concerned My Hair Transplant Won’t “Take”

I am a 46 yr old female wanting a hair transplant. I am concerned the transplant won’t “take”. I have no conclusive diagnosis. One Doctor thinks genetic, another thinks hormonal. Also, the texture changed to bumpy/kinky, like pubic hair. I wouldn’t want to transplant it. Any suggestions?

I don’t quite understand what you are asking. All surgeries have risks, just as driving your car has risks. You need good examination and a diagnosis before considering surgery. You also need to trust the doctor and establish a good communication line where your risks and benefits and expectations are addressed. Hairs that initially grow out from a hair transplant surgery may grow more coarse and wavy (rarely as you describe like “pubic hair”), but that is a risk and over time and it generally returns to its normal texture… unless the hair was harvested from your pubic area, of course.


2007-08-30 13:33:45I am Concerned My Hair Transplant Won’t “Take”

I Am Certain I Will Lose My Hair Because of Genetics

My maternal grandfather was bald and my father, who’s almost 60, has substantial thinning around his crown and a receded hairline. I just turned 27, and I don’t seem to have much if any thinning. The temples of my hairline have receded an inch or so in the last couple of years but everything else seems to be in place.

How long can my luck hold out? I have plenty of friends my age who have already lost substantial hair but I have not even though I’m certain I’ll lose substantial hair because of genetic inheritance.

As a general rule, you may follow your family pattern not only with balding but with the onset date. When did your dad start balding? You can have your scalp mapped out for miniaturization to see if you have early signs of genetic hair loss, but if you do not see it, I would not even go that far.

I Am Balding And I Can’t Get A Job

Hi Doc, Here is an interesting msg I ran into in Craigslist, a guy who is job hunting, might be good for the blog sfo Help! I am bald and cannot get a job! “Recently, people interviewing me have been staring at my bald head. I used to have a receding hairline (a la George Costanza) so I keep my hair shaved bald now. Nobody used to stare before, now they do a lot. I notice that a lot of IT guys are bald and does not seem to keep them from getting hired. Am I being discriminated as a bald (I mean “follically challenged”) man because people in sales/marketing are supposed to be cool looking (unlike IT nerds) so they are not hiring me because of my looks? Should I do the hair transplant thing? I always thought that the bald-shaved look was cool, sort of like the no-collar shirts used to be.

Myths exist about men with hair loss reflect the superficial nature of our society which judges a “book by its cover’. These myths, at times, cut deep into the psychology of our culture. About 9 years ago, I ran a radio talk show called “The Inner Man”. It ran an hour once a week. We covered many subject from sex to religion and became fairly popular because of the controversial subject material. One show, in particular, discussed discrimination targeting bald men. The switchboard went crazy with many call-in listeners. I remember one man who called in and told us that he was a Vice President of Sales for a very large company and he was very bald himself. Then he told me that generally bald men can’t be trusted and he never hires balding men because of that. As a bald many, he must have known something about himself with that comment because it made no sense, particularly in his case.

The image of trusting men by their appeearance, however, is common issue in politics. Full header hairy men win more elections than balding me across the nation. Every elected president after Eisenhower, has had a full head of hair and many pundits infer that men with a full head of hair are trustworthy. That is not to say that a bald man is not trustworthy, but prejudices go back centuries. Women, for example, have preferred full haired men well before the 1900s because men who lost their hair often had some disease like tuberculous, making them undependable marriage candidates because they may die early leaving them with children and no support. Although tuberculous is uncommon today and we understand that balding is a genetic condition that has nothing to do with health in 99%.9 of men, but the cultural hangovers of history probably left a mark through our present time.

From what my patient’s tell me, I can assume that getting hair back, produces a man who is more self confident. I have heard this from men who have made it in their careers after I have restored their hair, particularly those who eventually became successful actors (we are in Hollywood so we get a fair number of actors). I remember an African American who wanted to be America’s first black president and believed he could not do it without hair on his head. I have heard these stories for the 24 years I have been in practice and those who have had their hair restored have reported that this surgery and this change in their appearance was a milestone in the development of successful careers. Hair does bring: freedom from the fear of the unknown, freedom from the fear of looking older, and a general feeling of more confidence for the man we all see in the mirror

What should you do? the above poster asked. Clearly this is an issue for him. He should become educated about hair restoration as the first step he might consider. He could come to one of our Open House events as he is in Southern California and he can meet many of the men who have had their hair put back back and ask them the questions he asked on Craigslist. He should research the internet and the many forums that address hair loss. He should interact with the community through social networks. He might find the answer by probing the world around him.

I Am Bald in a NW3V Pattern, but My Hair is Thin in a NW6 Pattern

I am 40 years old. I have bald areas corresponding to Norwood 3 Vertex but thin (but stable) hair corresponding to NW6 according to two doctors. I am not taking Propecia for 18 months.

1. Can I still progress to a NW6?
2. If you (Dr. Rassman) were to transplant me, would you fix the NW3 regions or the NW6 regions or both?

Norwood 6Generally, when doctors assess patients with a Norwood scale, it is meant to categorize your eventual balding pattern. You may not look like a Norwood class 6 right now, but it seems two doctors that have examined you think you are going to eventually be a Norwood 6. This likely means you are not a Norwood 3V, but you have a pattern leading to a class 6.

Many men on finasteride may never lose all of the hair in the end pattern, but no one really knows. Best to get good baselines with bulk measurements along with some good pictures, and then repeat them serially year after year to know where you are actually going.

So a good doctor should recognize this and transplant the hair with both a short term focus to address your immediate needs and a long term focus leaving enough donor hair available to address the evolving situation as it unfolds. In short, this is what I always stress about on this blog and in my private practice. This must be a Master Plan for each patient before going forward with the first hair transplant in what may become a course you will follow over your lifetime.

I Am Bald at 78 Years Old — Is There a Solution for Me?

I am a male and started to loose my hair when I was 18 yrs old and now I am 78 yrs old and have male pattern horseshoe shape baldness. I hate being bald. is there any solution for me? thank you

It’s never too late! I have performed hair transplants for men in their 70’s and 80’s. Here are two patients off the top of my head that have had surgery in their 70s:


2008-06-05 13:40:32I Am Bald at 78 Years Old — Is There a Solution for Me?

I Am A Female Taking Finasteride (Propecia) And I Have Anxiety and Panic Attacks.

Hi,
I am curious. I have been taking Finasteride (1mg) for about six months now. I am a female of 46 years old.
I see that most of the comments are from men and that is why I am wondering if women can experience similar symptoms. I have already suffered from anxiety and panic attacks in the distant past but since six months they have come back and are much worse than ever before. I feel anxious all the time, I am not sleeping and I have panic attacks daily. I am wondering if it is the meds doing that? Could another woman tell me if this could be a possible reason for my extreme symptoms please. It is the only thing I can think of at this time. I am very upset and feel just awful every day. Those attacks are limiting my life and making feel so depressed. I had them under control before but cannot control them today! I am almost hoping it could be the Finasteride I am taking because I have read all the comments on this forum and many people have experienced the same as me. I appreciate any guidance. Thank you.
Marianne

stop

First and foremost you need to go back to your doctor and discuss these issues.

Finasteride is NOT to be taken by women.

I Am a Bad Scar Former — Would FUE Be an Option?

I have hypertrophic scars from numerous cutaneous surgeries, and even under modest tension my scars tend to spread quit a bit. None of them have an adequate cosmetic result in my mind for a hair bearing region. As a result, harvesting grafts with a strip is something I am not considering. Given my propensity for making ugly scars, am I likely to have abnormally visible scarring from follicular unit extraction at the harvest or transplant site, or are these so small that hypertrophy and spreading are of little concern?

Nobody wants a bad scar, but for hair transplant surgery (or any surgery on the scalp), the scar should always be hidden under the hair if you keep it at a normal length (more than 2 inches). Even a bad scar can still be hidden after a haircut with a #3 clipper most of the time. I also realize many men would like to cut their hair very short in the back where the scar may be visible, and that’s when follicular unit extraction (FUE) may be a better option. However, if you have a tendency to have hypertrophic scars, then even the FUE may leave you with hundreds of noticeable dots.

As with everything in life, you need to have some perspective on what you are doing and what you are willing to give up. Nothing is perfect. There is no such thing as scar-less surgery. There are men who choose to have hair in the front and top, but sacrificing the gain with a scar in the back of their head. There are men who do not want any scars on the back of the head (linear or otherwise), and for them surgery is simply not an option. There has to be some give and take that you have to be comfortable with.

Think about cosmetic surgery on women: Women who want larger breasts will sacrifice their gain in cup size with a scar under the breast, around the areola, in the armpit, or in their belly button. Women who want a face lift will sacrifice a youthful face for a scar along the back of their ear and behind their front hairline.

Remember, keeping your hair very short after a hair transplant will not give you the best cosmetic results no matter how many grafts you transplant. A very short hair style will look much thinner than a longer hair style, which covers more of your head. This is because the surgeon is working with a limited number of grafts to cover a big area.

I Am a 21 Year Old Female and I Want a Rounded Lower Hairline

I have a very square hairline along with a large forehead. I have heard that a forehead reduction can lower the hairline but that hair transplants would be needed as well to round the hairline out. Is it possible to round out the hairline with just a forehead reduction (by taking the forehead down/in more on the sides)?

This can only be created with a hair transplant. A hairline reduction surgery can lower it but not round it. I wrote a chapter in a bood on this subject here: https://newhair.com/wp-content/uploads/2018/11/phenotype-article-published.pdf


2020-01-31 15:20:47I Am a 21 Year Old Female and I Want a Rounded Lower Hairline